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Full text of "USPTO Patents Application 10812569"

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PTO/SB/122 (09-03) 
Approved for use through 1 1/30/2005. OMB 0651-0035 

UndertriePac^ Reduction A ct o, 1*95. no persons are reouiredto^^^^^ 


nsplaya a valid OMB control numpe r. 



CHANGE OF 

ONDENCE ADDRESS 

Application 


ner for Patents 
1450. 

fexandria, VA 22313-1450. 


Application Number 


Filing Date 


First Named I n ventor 


Art Unit 


Examiner Name 


Attorney Docket Number 


SJ1j2x 


Please change the Correspondence Address for the above-identified patent application to: 
I"/"] Customer Number : 


44538 


OR 


□ 


Firm or 

Individual Name 


Address 


1215 EAST BROWARD BOULEVARD 


Address 


City 


FORT LAUDERDALE 


State 


FLORIDA 


33301 


Country 


Telephone 


(954)234-2417 


Fax (954)234-2506 


This form cannot be used to change the data associated with a Customer Number. To change the 
data associated with an existing Customer Number use -Request for Customer Number Data 
Change" (PTO/SB/124). 


I am the: 


Applicant/Inventor 

I I Assignee of record of the entire interest. 

Statement under 37 CFR 3.73(b) is enclosed. (Form PTO/SB/96). 

[3 Attorney or Agent of record. Registration Number 34,902 


I I Re 9'stered practitioner named in the application transmittal letter in an application without i 
executed oath or declaration. See 37 CFR 1.33(a)(1). Registration Number 


Tfrrtor Printed qaniel S. POLLEY, ESQ. 


Signature 


terl I) (US 


Date 


| Telephone (954) ^^; 


NOTE: Signatures of all the inventors or assignees of record of t 
forma if more than one signature is required, see below*. 


entire interest or their representative<8) are required. Submit multiple 


□ Total Of, 


.forms are submitted. 


gathering, preparing, and submitting the complete* application form ^ ^PJOT^ ^l^TZ^^^^^^ "routes to complete, including 
amount of time you require to complete this form andTor suggestions to reduc^ W, c^n s^dtT^m tn^^2^3* la 'J a "^ ny ^™ ms °" ,he 
Trademark Office. U.S. Department of Commerce. P.O Box 1450 AJexandria^A 223ia??isonn ^^Vr^tfJ^ 0 ^^.? °™ cer US Palemana 
ADDRESS. SEND TO: Commoner for Patent,. So. Box ^?ZxL™ VA &n.A4% S ™ *** °" C0MPLETE0 F0RMS ™ ™ 


If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2